Bronchoscopy me Bronchoalveolar Lavage (BAL)
Toka Te Manawa
- He aha te Bronchoscopy me te bronchoalveolar lavage (BAL)?
- Hei aha ma raatau?
- He aha i hiahia ai ahau ki te Bronchoscopy me te BAL?
- Ka ahatia i te wa o te Bronchoscopy me te BAL?
- Me mahi e au tetahi mea hei whakareri mo te whakamatautau?
- He raru pea mo te whakamatautau?
- He aha te tikanga o nga hua?
- He mea ano me mohio au mo te Bronchoscopy me te BAL?
- Tohutoro
He aha te Bronchoscopy me te bronchoalveolar lavage (BAL)?
Ko te Bronchoscopy he tikanga e taea ai e te kaiwhakarato ratonga hauora te tiro ki o pungarehu. Ka whakamahia he ngongo angiangi, rama ka huaina ko te Bronchoscope. Ka tukuna te ngongo ki roto i te waha o te ihu ranei ka neke ki raro o te korokoro ka uru atu ki nga huarahi rererangi. Ka awhina i te taatai me te whakaora i etahi mate pukupuku.
Ko te Bronchoalveolar lavage (BAL) he tikanga e mahia ana i etahi wa i te wa o te bronchoscopy. Ka kiia hoki ko te horoi horoi i te bronchoalveolar. Ka whakamahia te BAL hei kohi tauira mai i nga pungahuka hei whakamatautau. I te wa e whakahaerehia ana, ka tukuna he otinga tote ki roto i te bronchoscope hei horoi i nga ara rererangi me te hopu tauira wai.
Othertahi atu ingoa: bronchoscopy hangore, horoi bronchoalveolar
Hei aha ma raatau?
Ka whakamahia pea te Bronchoscopy ki:
- Rapua me te atawhai i nga tipu, i etahi atu poraka ranei i nga huarahi rererangi
- Tangohia nga puku puku
- Whakahaerehia te whakaheke toto i te huarahi rererangi
- Awhina kia kitea te take o te tohe tonu o te mare
Mena kua kitea kua mate koe i te mate pukupuku pukupuku, ka taea e te whakamatautau te awhina i tona mate.
Ko te Bronchoscopy me te BAL e whakamahia ana hei kohi kiko hei whakamatautau. Ko enei whakamatautau ka awhina i te taatai i nga momo rereketanga o te huhu tae atu ki:
- Nga mate kitakita penei i te mate kohi me te mumura kitakita
- Nga mate harore
- Te mate pukupuku pukupuku
Kotahi, e rua ranei nga whakamatautau ka whakamahia mena ka kitea he whakamatautau ka kitea he raru pea me nga pungarehu.
He aha i hiahia ai ahau ki te Bronchoscopy me te BAL?
Akene ka hiahia koe kia kotahi, kia rua ranei nga whakamatautau mena ka kitea e koe he tohu o te mate pukupuku, penei i te:
- Te mare tuutuu
- Raru manawa
- Te whakaheke toto
Akene ka hiahia pea koe ki te BAL mena ka raru to punaha mate. Ko etahi mate o te punaha aarai mate, penei i te HIV / AIDS, ka kaha ake to mate ki etahi mate pukupuku.
Ka ahatia i te wa o te Bronchoscopy me te BAL?
Ko te Bronchoscopy me te BAL te nuinga e mahia ana e te kaimuka paru. He taakuta pulmonologist he taakuta e matatau ana ki te tirotiro me te whakaora i nga mate pukupuku.
Ko te tikanga o te bronchoscopy e whai ake nei:
- Akene me tangohia e koe etahi o o kakahu ranei. Mena, ka hoatu he koti ki te hohipera.
- Ka noho koe ki tetahi tuuru ka rite ki te tuuru o nga niho, ka noho ranei i runga i te teepu whakahaere ka ara ake to mahunga.
- Akene ka whiwhi koe i te rongoa (whakarokiroki) hei whakangawari i a koe. Ka werohia te rongoa ki roto i te uaua ka hoatu ranei ma te raina IV (haurangi) ka tuu ki to ringa, ki to ringaringa ranei.
- Ka rehu e to kaiwhakarato te rongoa whakamoe i roto i to mangai me to korokoro, kia kore ai koe e mamae i te wa o te mahinga.
- Ka whakauruhia e to kaiwhakarato te bronchoscope ki raro i to korokoro, ki roto hoki i o huarahi rererangi.
- I te nekehanga o te bronchoscope ki raro, ka tirohia e to kaiwhakarato o pungarehu.
- Ka mahi pea to kaiwhakarato i etahi atu maimoatanga i tenei wa, penei i te tango i te puku, te horoi ranei i te aukati.
- I tenei wa, ka whiwhi pea koe i te BAL.
I te wa o te BAL:
- Ka tukuna e to kaiwhakarato he tote iti ki roto i te bronchoscope.
- Whai muri i te horoinga i nga ara rererangi, ka ngote te tote ki roto ki te bronchoscope.
- Kei roto i te otinga saline etahi pūtau me etahi atu matū, pēnei i te kitakita, ka haria atu ki te whare taiwhanga hei whakamatautau.
Me mahi e au tetahi mea hei whakareri mo te whakamatautau?
Akene me nohopuku koe (kaua e kai, kia inu ranei) mo etahi haora i mua o to tikanga. Ka whakamohio atu to kaiwhakarato ki a koe kia pehea te roa e hiahia ana koe ki te karo i te kai me te inu.
Me whakarite hoki e koe kia tonoa e tetahi ki te kaainga. Mena kua whakawhiwhia koe ki te kaiwhakamahu, ka hiamoe pea koe mo etahi haora i muri o to tikanga.
He raru pea mo te whakamatautau?
He iti noa te tuponotanga ki te whai i te bronchoscopy he BAL ranei. Ma tenei tikanga ka mamae ai te korokoro i a koe mo etahi ra. He onge nga raru nui, engari ka uru pea te toto ki nga huarahi rererangi, te mate, te waahanga kua pakaru ranei o te pungarehu.
He aha te tikanga o nga hua?
Mena kaore i maarama nga hua o te bronchoscopy, he tikanga kei te raru koe i te puhukahu penei:
- He aukati, he tipu, he puku ranei kei roto i nga ara rererangi
- Te whaiti o tetahi waahanga o nga huarahi rererangi
- He kino ki te paru e pa mai ana ki te mate ārai mate pēnei i te rumati rumati
Mena i whai koe i te BAL ana ko o hua tauira o te pūkahukahu kaore i te noa, ko te tikanga he mate pukupuku koe, he momo mate ranei penei:
- Mate kohi
- Pohonia kitakita
- Te mate harore
Mena he paatai taau mo o hua, korero ki to kaiwhakarato hauora.
Ako atu mo nga whakamatautau taiwhanga, awhe tohutoro, me te maarama ki nga hua.
He mea ano me mohio au mo te Bronchoscopy me te BAL?
Hei taapiri ki te BAL, kei kona ano etahi atu whakaritenga ka taea i te wa o te bronchoscopy. Kei roto i enei:
- Ahurea aukati. Ko te pungarehu tetahi momo huka matotoru i hangaia i roto i o pungahukahu. He rereke i te tuwha, i te huware ranei. Ka tirohia e te ahurea aukati etahi momo mate.
- Maataki taiaho radiation ranei hei whakaora i nga pukupuku pukupuku ranei
- Maimoatanga hei aukati i te whakaheke toto i roto i nga pukahukahu
Tohutoro
- American Cancer Society [Ipurangi]. Atlanta: American Cancer Society Inc. c2020. Bronchoscopy; [whakahoutia 2019 Hanu 14; whakahuahia 2020 Jul 9]; [tata ki te 5 o nga mata]. Wātea mai i: https://www.cancer.org/treatment/ Understanding-your-diagnosis/tests/endoscopy/bronchoscopy.html
- American Lung Association [Ipurangi]. Chicago: American Lung Association; c2020. Bronchoscopy; [whakahua 2020 Jul 9]; [tata ki te 3 nga mata]. Wātea mai i: https://www.lung.org/lung-health-diseases/lung-procedures-and-tests/bronchoscopy
- Hinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Test. 2nd Ed, Rama. Philadelphia: Wolters Kluwer Hauora, Lippincott Williams & Wilkins; c2014. Bronchoscopy; wh. 114.
- Merck Manual Kaihoko Putanga [Ipurangi]. Kenilworth (NJ): Merck & Co., Inc. c2020. Bronchoscopy; [whakahoutia 2019 Jul; whakahuahia 2020 Jul 9]; [tata ki te 2 nga mata]. Wātea mai i: https://www.merckmanuals.com/home/lung-and-airway-disorder/diagnosis-of-lung-disorder/bronchoscopy
- Te Motu a Tamariki [Ipurangi]. Columbus (OH): Te Whare Hauora Tamariki a Motu; c2020. Bronchoscopy (Bronchoscopy hangore me Bronchoalveolar Lavage); [whakahua 2020 Jul 9]; [tata ki te 4 o nga mata.] E waatea mai i: https://www.nationwidechildrens.org/family-resource-education/health-wellness-and-safety-resource/helping-hands/bronchoscopy-flexible-bronchoscopy-and-bronchoalveolar-lavage
- Patel PH, Antoine M, Ullah S. StatPearls. [Ipurangi]. Whakaputanga o Treasure Island; c2020. Bronchoalveolar Lavage; [whakahoutia 2020 Apr 23; whakahuahia 2020 Jul 9]; Wātea mai i: https://www.ncbi.nlm.nih.gov/books/NBK430762
- RT [Ipurangi]. Overland Park (KS): Medqor Hangarau Hauora Hauora me nga Taputapu; c2020. Bronchoscopy me Bronchoalveolar Lavage; 2007 Pepuere 7 [whakahua 2020 Jul 9]; [tata ki te 3 nga mata]. Kei te waatea mai i: https://www.rtmagazine.com/disorder-diseases/ Syndrome-
- Radha S, Afroz T, Prasad S, Ravindra N. Diagnostic utility of bronchoalveolar lavage. J Cytol [Ipurangi]. 2014 Jul [whakahua 2020 Jul 9]; 31 (3): 136–138. Wātea mai i: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274523
- Hauora UF: Te Whare Waananga o Florida Hauora [Ipurangi]. Gainesville (FL): Te Whare Waananga o Florida Hauora; c2020. Bronchoscopy: Tirohanga; [whakahoutia 2020 Jul 9; whakahuahia 2020 Jul 9]; [tata ki te 2 nga mata]. Wātea mai i: https://ufhealth.org/bronchoscopy
- Whare Wananga o Rochester Medical Center [Ipurangi]. Rochester (NY): Whare Wananga o Rochester Medical Center; c2020. Encyclopedia Hauora: Bronchoscopy; [whakahua 2020 Jul 9]; [tata ki te 2 nga mata]. Wātea mai i: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=92&contentid=P07743
- Hauora UW [Ipurangi]. Madison (WI): Te Whare Waananga o Wisconsin Whare Hauora me te Mana Haumanu; c2020. Korero Hauora: Bronchoscopy: Pehea Te Mahi; [whakahoutia 2020 Pepuere 24; whakahuahia 2020 Jul 9]; [tata ki te 5 o nga mata]. Wātea mai i: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#hw200480
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- Hauora UW [Ipurangi]. Madison (WI): Te Whare Waananga o Wisconsin Whare Hauora me te Mana Haumanu; c2020. Korero Hauora: Bronchoscopy: Hua; [whakahoutia 2020 Pepuere 24; whakahuahia 2020 Jul 9]; [tata ki te 8 nga mata]. Wātea mai i: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#aa21557
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- Hauora UW [Ipurangi]. Madison (WI): Te Whare Waananga o Wisconsin Whare Hauora me te Mana Haumanu; c2020. Korero Hauora: Bronchoscopy: Te Take Ka Whakamutua; [whakahoutia 2020 Pepuere 24; whakahuahia 2020 Jul 9]; [tata ki te 3 nga mata]. Wātea mai i: https://www.uwhealth.org/health/topic/medicaltest/bronchoscopy/hw200474.html#hw200478
Ko nga korero kei tenei papaanga kaua e whakamahia hei whakakapi mo te tiaki ngaio ngaio, tohutohu ranei. Whakapa atu ki te kaiwhakarato hauora mena he paatai taau mo to hauora.